The GP Update Taster Quiz for Devon CEPN

1:

In patients with left ventricular systolic dysfunction, which of the following should be used to manage iron deficiency anaemia:

2:

In gout, urate lowering drugs should be offered after just one attack.

3:

FeNO testing detects eosinophilic inflammation of the airways and has a role in the diagnosis of asthma. Which of the following statements are true:

4:

Li Yin (43y) developed anaphylaxis during surgery on her gall bladder 2 weeks ago. It  happened during induction, when a number of drugs including penicillin were used. The discharge letter says ‘Anaphylaxis to drugs given at induction: GP to action’. Which of the following are true:

5:

Which option arranges these inhalers in order of increasing inspiratory effort:

6:

Erica is 15y and is brought by her mother who is worried about her weight and eating. She has only recently started to eat less and exercise more. She has not induced vomiting or done any self harm. Her BMI is 19 and her bloods are normal. A watch and wait approach would be reasonable.

7:

Khalid aged 4 snores. His mum is worried because he keeps waking up his baby sister and no one is getting any sleep. He is struggling in his first year at school and keeps falling asleep after lunch. Mum says he is ‘hyper’ at home. What is the best management option:

8:

In primary care, in adults aged 40 years or older, the following can be suggestive of a possible cancer diagnosis. Identify which of these confers the highest chance of a cancer diagnosis in the next 6m:

9:

Which is the correct answer:

10:

The care home rings. Mrs. Jones is quieter than usual and off her food. Her urine dipstick is positive for protein, nitrites and leucocytes. They are asking for a prescription for antibiotics. When you visit later in the day Mrs. Jones is not her usual chatty self and seems confused (not normal for her). The care assistant says she was confused in the night too but ate her breakfast as normal, although she hasn’t touched her lunch.

What is the best management?